MINISTRY OF HOUSING APPLICATION FOR LAND FORM

[Pages:2]MINISTRY OF HOUSING

APPLICATION FOR LAND FORM

APPLICANT

1. NAME(S): ......................................................................................................................

......................................................................................................................

2. ADDRESS: .........................................................................................................................

3. P. O. BOX: .....................................................................................................................

4. TELEPHONE: (Work): ............... (Home): ..................... (Mobile): ........................................

5. PLACE OF BIRTH: .................................*NATIONALITY: ..................................................

6. DATE OF BIRTH: .........../......................../............... AGE: .................................................

(Day)

(Month)

(Year)

7. MARITAL STATUS: Married( ) Divorced( ) Separated( ) Single( ) Widowed ( )

8. NUMBER OF DEPENDENTS: Ages: 1-10( ) 11-17+College Student ( ) 65 and over( ) Invalid( )

9. ARE YOU PRESENTLY PAYING RENT: Yes ( ) No ( ); If Yes; how much? ................................

10. PLACE OF EMPLOYMENT: ..............................................................................................

11. POSTION .......................................... YEARS ................................................................

12. SALARY ........................................... TIPS ....................................................................

13. LOANS: ........................................................................................................................

Financial Institution ....................................... Payment ................ Balance ..............................

Financial Institution ....................................... Payment ................ Balance ...............................

Financial Institution ....................................... Payment ................ Balance ...............................

CO-APPLICANT IF NOT SPOUSE

14. NAME: ..........................................................................................................................

15. ADDRESS: ........................................................................................................................

16. P. O. BOX: ....................................................................................................................

17. TELEPHONE: (Work): ............... (Home): ..................... (Mobile): .......................................

18. PLACE OF BIRTH: .................................*NATIONALITY: ..................................................

19. DATE OF BIRTH: .........../......................../............... AGE: ...................................................

(Day)

(Month)

(Year)

20. MARITAL STATUS: Married( ) Divorced( ) Separated( ) Single( )

21. NUMBER OF DEPENDENTS: Ages: 1-10( ) 11-17+College Student ( ) 65 and over( ) Invalid( )

22. PLACE OF EMPLOYMENT: ..............................................................................................

23. POSITION ........................................................................... YEARS ...............................

24. SALARY ........................................... TIPS ....................................................................

25. LOANS: ........................................................................................................................

Financial Institution ....................................... Payment ................ Balance ...............................

Financial Institution ....................................... Payment ................ Balance ...............................

FURTHER DETAILS

SUBDIVISION DESIRED: .......................................................................................................

MOH Land Application Form Page -1-

26. DO YOU PRESENTLY OWN ANY REAL ESTATE (house, apt. land, etc.) Yes ( ) No ( ) If yes explain .................................................................................................................

27. DESCRIPTION OF PROPOSED DEVELOPMENT: ................................................................. ...................................................................................................................................

28. AVAILABLE DOWN PAYMENT Yes ( ) No ( ) If yes; how much? .............................................. 30. SOURCE OF FINANCING FOR DEVELOPMENT:

Bahamas Mortgage Corporation: Yes ( ) No ( ) Private Financing: Yes ( ) No ( ) If yes Specify ............................................................ Self: Yes ( ) No ( ) If yes Explain .............................................................................. 31. DO YOU PROPOSE TO HAVE US BUILD YOUR HOUSE: Yes ( ) No ( ) 32. HAVE YOU PREVIOUSLY BEEN GRANTED?

CROWN LAND Yes ( ) No ( ) LAND HELD BY MINISTRY OF HOUSING Yes ( ) No ( ) 33. IF #32 ABOVE IS YES, PLEASE STATE WHERE: ISLAND: ................................... SETTLEMENT: ............................................................ SUBDIVSION: ................................... LOT No.: ......... BLOCK No.: ...... PLAN .....................

I HEREBY SOLEMNLY AND SINCERELY DECLARE THAT ALL THE INFORMATION CONTAINED, AS ENTERED ABOVE BY ME ARE TRUE AND CORRECT.

APPLICANT: ................................................. DATE: ..............................................

CO-APPLICANT: ................................................ DATE: ...............................................

WITNESS: .................................................... DATE: ............................................... ----------------------------------------------------------------------------------------------------------** ONLY BAHAMIAN CITIZENS WILL BE CONSIDERED FOR LAND** *** PERSONS MUST BE 18 YEARS OR OLDER TO APPLY***

**** FALSE OR DECEPTIVE INFORMATION WILL AUTOMATICALLY VOID THIS APPLICATION OR ANY OFFER MADE****

FOR OFFICIAL USE ONLY: _____________________________________________________________________________________

Total

Total

Available

Income_________________ Expenditure (Loans) _____________ Down Payment _____________

Interest Rate:

Amount

_____________ Qualified for: __________________

Source (Down Payment) ____________

Date: __________________________ Signature: (BMC or MOH) _______________________________

_____________________________________________________________________________________

MOH Land Application Form Page -2-

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